| NPI | 1245512078 |
|---|---|
| Former Name | BLAIR CHERYL MATTHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010343) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005364A) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2012-05-21 |